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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Offering a continuum of care, the blissful senior living community of The Vineyards – California Armenian Home in Fresno County, Fresno, CA, empowers seniors to successfully age in place with access to care needs even as their needs change. The community offers independent living, assisted living, memory care, and skilled nursing, designed to accommodate various lifestyle needs and provide excellent care. Choose from an array of studio, one-bedroom, and two-bedroom apartments, and move into a residence that perfectly matches your lifestyle needs.
The community features a hardworking team, available 24/7 to provide compassionate, efficient, and professional care and support to every resident. Residents are empowered to continue learning, growing and living life to its fullest with a plethora of activities, including gardening, Tai Chi lessons, cooking classes, and exercise sessions. Another highlight of living in the community is their exceptional dining with meals inspired by the freshest locally sourced ingredients, grown right within the community.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 80th out of 346 homes in California. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 1m per day | ■ Avg State avg: 4h 4m per day · National avg: 3h 25m per day |
Lower than the California average: 72.8%The Vineyards – California Armenian Home is legally operated by California Home For The Aged Inc, and administrated by Paul Rocha.
In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the California state average. See the nursing homes benchmark below for the typical California score; higher is better.
Above the California average for nursing homes.
California nursing homes benchmark: C- 70/100
Inspection score: 85 out of 100. Letter grade B. Above the California average for nursing homes.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 0 | 10 | This facility has 100% fewer total citations than a typical California nursing home (0 vs. CA avg 10).↓ 100% better |
Inspections & Visits
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total visits
Combined count of complaint visits, other regulatory visits, and official scheduled inspections.
| 18 | 16 | This facility has 13% more total visits than a typical California nursing home (18 vs. CA avg 16).↑ 13% worse |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 8 | 13 | This facility has 38% fewer complaint visits than a typical California nursing home (8 vs. CA avg 13).↓ 38% better |
|
Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 5 | 7 | This facility has 29% fewer other visits than a typical California nursing home (5 vs. CA avg 7).↓ 29% better |
|
Official inspections
Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.
| 5 | 4 | This facility has 25% more official inspections than a typical California nursing home (5 vs. CA avg 4).↑ 25% worse |
|
Complaint investigations
On-site investigations triggered by complaints filed with California regulators.
| 8 | 10 | This facility has 20% fewer complaint investigations than a typical California nursing home (8 vs. CA avg 10).↓ 20% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
California average 12.5
Last Health inspection on Aug 2025
California average 50.2
California average 4.65
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
33 of 37 citations resulted from standard inspections; and 2 of 37 resulted from complaint investigations.
100% better than California averageCalifornia average: 0.4
In line with California averageCalifornia average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
8% worse than California average
5% worse than California average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
16 total: 15 full-time employees and 1 contractor.
16
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursAssists with medical care and medications.
30 total: 22 full-time employees and 8 contractors.
30
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursHelps with daily care and mobility.
83 total: 75 full-time employees and 8 contractors.
83
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,154 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 75 | 8 | 83 | 25,100 | 92 | 100% | 7.2 |
| Licensed Practical Nurse | 22 | 8 | 30 | 6,683 | 92 | 100% | 7.7 |
| Registered Nurse | 15 | 1 | 16 | 5,183 | 92 | 100% | 7.7 |
| Other Dietary Services Staff | 8 | 0 | 8 | 2,878 | 92 | 100% | 7.6 |
| Physical Therapy Aide | 0 | 6 | 6 | 1,315 | 82 | 89% | 6.3 |
| Mental Health Service Worker | 3 | 0 | 3 | 948 | 65 | 71% | 7.9 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 931 | 67 | 73% | 7.6 |
| RN Director of Nursing | 4 | 0 | 4 | 860 | 68 | 74% | 8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 836 | 70 | 76% | 6.9 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 469 | 64 | 70% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 461 | 58 | 63% | 7.9 |
| Therapeutic Recreation Specialist | 0 | 3 | 3 | 381 | 64 | 70% | 5.7 |
| Respiratory Therapist | 0 | 1 | 1 | 295 | 55 | 60% | 5.4 |
| Physical Therapy Assistant | 0 | 2 | 2 | 258 | 55 | 60% | 3.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 224 | 28 | 30% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 87 | 14 | 15% | 6.2 |
| Medical Director | 0 | 1 | 1 | 63 | 26 | 28% | 2.4 |
| Other Physician | 0 | 1 | 1 | 32 | 10 | 11% | 3.2 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
82% lower than California averageCalifornia average: $55K
58% fewer fines than California averageCalifornia average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than California averageCalifornia average: 0.5
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
3.9
41% better than California averageCalifornia average: 6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
7.1
37% better than California averageCalifornia average: 11.3
Percent of long-stay residents whose need for help with daily activities has increased
7.1%
35% better than California averageCalifornia average: 11.1%
Percent of long-stay residents whose ability to move independently worsened
8.3%
31% better than California averageCalifornia average: 12.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
6.0%
47% better than California averageCalifornia average: 11.3%
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
5% worse than California averageCalifornia average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
1.2%
75% better than California averageCalifornia average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
1.3%
69% better than California averageCalifornia average: 4.2%
Percent of long-stay residents who have depressive symptoms
0.4%
94% better than California averageCalifornia average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
5.2%
48% better than California averageCalifornia average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
6% better than California averageCalifornia average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
In line with California averageCalifornia average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.0%
5% better than California averageCalifornia average: 93.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
71% of new residents, usually for short-term rehab.
26% of new residents, often for short stays.
4% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
102Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for The Vineyards – California Armenian Home based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #106 / 347Payroll — State benchmarkedThis home is ranked 106th out of 347 homes in California. Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Room Sizes: 461 / 514 / 626 / 726 / 860 / 1038 sq. ft
Housing Options: Studio / 1 Bed / 2 Bed
Building Type: 3-story
Transportation Services
Most residents typically stay for a few weeks or months before returning home or moving on.
7.0 miles from city center
Estimated distance in miles from Fresno's city center to The Vineyards – California Armenian Home's address, calculated via Google Maps.
Add your location
The Vineyards – California Armenian Home is located in Fresno, California.
Here are the financial assistance programs available to residents in California.
The Vineyards – California Armenian Home is in the Roosevelt neighborhood of Fresno.
The legal owner and operator of The Vineyards – California Armenian Home is California Home For The Aged Inc.
The Vineyards – California Armenian Home has a walk score of 24. Car-dependent. Most errands require a car, with limited nearby walkable options.
The Vineyards – California Armenian Home's occupancy is 54%.
Paul Rocha is the administrator of The Vineyards – California Armenian Home.
The Vineyards – California Armenian Home has 412 beds.
The Vineyards – California Armenian Home has no recently reported deficiencies or citations.
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